Re: Plantarflexion weakness
Terry Supan
Description
Collection
Title:
Re: Plantarflexion weakness
Creator:
Terry Supan
Date:
3/29/1999
Text:
William,
I assume that her problem is excessive dorsiflexion beyond 90*. To replace her
plantar flexors for inclines and stair you could try one of the following: an
articulated ground reaction AFO with 90* dorsi stop; a regular articulated AFO
with reversed tamarack dorsi assist joint (to provide dorsiflexion resistance); a
regular articulated free motion tamarack AFO with some type of posterior,
adjustable, dorsiflexion limiter. My brother has the same type of problem 2* to
Achilles tendon rupture that he did not have repaired. He wears cowboy or
wellington boots and no orthosis. What was the rational behind her other
orthosis, i.e.: the carbon plate and posterior trim?
Terry Supan, CPO
<Email Address Redacted> wrote:
> Patient is 52 yr. old female with weak left plantar flexors resulting from
> back surgery. Good passive ROM and good to excellent dorsiflexors. Pt is
> post surgery approx. 1.5 yrs. with history of extensive PT. She especially
> has problems with inclines and stairs. She was fitted with posterior leaf
> spring AFO with full foot plate and carbon reinforcement posteriorly. I would
> appreciate any suggestions on orthotic for this Lady.
> William C. Earles
I assume that her problem is excessive dorsiflexion beyond 90*. To replace her
plantar flexors for inclines and stair you could try one of the following: an
articulated ground reaction AFO with 90* dorsi stop; a regular articulated AFO
with reversed tamarack dorsi assist joint (to provide dorsiflexion resistance); a
regular articulated free motion tamarack AFO with some type of posterior,
adjustable, dorsiflexion limiter. My brother has the same type of problem 2* to
Achilles tendon rupture that he did not have repaired. He wears cowboy or
wellington boots and no orthosis. What was the rational behind her other
orthosis, i.e.: the carbon plate and posterior trim?
Terry Supan, CPO
<Email Address Redacted> wrote:
> Patient is 52 yr. old female with weak left plantar flexors resulting from
> back surgery. Good passive ROM and good to excellent dorsiflexors. Pt is
> post surgery approx. 1.5 yrs. with history of extensive PT. She especially
> has problems with inclines and stairs. She was fitted with posterior leaf
> spring AFO with full foot plate and carbon reinforcement posteriorly. I would
> appreciate any suggestions on orthotic for this Lady.
> William C. Earles
Citation
Terry Supan, “Re: Plantarflexion weakness,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 15, 2024, https://library.drfop.org/items/show/211344.
